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�ERMIT <br /> CI�Y QF ORONO PERMIT TYPE: <br /> 2750 Kelley Parkway- P.O. Box 66 Permit Number: - -Y""`'�'�=`:F" <br /> Crystal Bay, Minnesota 55323 �.'i ;�w,:-:t��� <br /> (612) 473-7357 Date Issued: _ <br /> :�_;:� <br /> SITE ADDRESS: <br /> . .'t_' r�`'=._�;�`•F:I `°i; y" <br /> tr . <br /> — _ _ _ ' 3e <br /> DESCRIPTION: <br /> _. _, ,.:_, _ _..,,__ _ _ .�- � - _ _� <br /> ,_ ;-� r�`. _ _;;vf..:�i.., �i_i;v��'.� �'l=-it'-.t_ _.. . .. ��•;,W;}��'; '=it_i41'I�� I?�_.�.� <br /> '. E_�. ._ _.. <br /> REMARKS: <br /> FEE SUMMARY: <br /> �Y�i"f�....t✓i'�T } S_ilRj `�.7,4,F .�`..I'_I <br /> ���=t=+ I^�c� ��.`=�_. , '•[_.' FT;:,'-�T[,_ ��,: -.�:.� �-.,�� <br /> W=L�Ei'F..�';�.i.}''�:' —_�,___._ — �:�! � t�t�.;:li j—;=,r, ��_._..�_.����t-� �',t_� <br /> �?.jiFj�.3 i t._',� ^'.��.''�i�{.�W:_i <br /> CONTRACTOR: -- . ��:�i j c:n�Et. -- OWNER: <br /> - ... ... �. .___. _. _ _ _ .. .._._ : -- " _ . . _:. . t�.::i��;:r <br /> --- - .`:E_i�!.i:r-:;') r;`y+'.= _ , .'iJ `;�t';:_;'1!;`y i.;'; i:: <br /> _ f�€''S - "•a � ._ ...._._ t�-,_'•`',�; t `::�. _ _ _ <br /> ... _. . _._ _. . .___.,..� _ <br /> i �'%='L �_{�.v_ ,:.,. ._.,�t I`.�.. . »_�.. .}_,F_? � :.__ `''L'.�.�.�_ - _ _ _ . . ��_i . .. ._.. �t" �. y�":_:.`-�;.. 'r,. �i ;,.t'��;`1' i - <br /> �•" -^'`w`�:.� 1';f,�. <br /> ._..... .._.,_. . , _"+,� , <br /> - - � T'' " -;!'.i1.' :-�t-+!�i- - - -�_I - �E-.- �;t;-`i .�:�<<:��; i a; j i�' �t�- <br /> .: ---. -: � ._. <br /> • .:�': � u_, , . __; , <br /> . <br /> : � ;; <br /> ._„ , �.s: ��.:.� r.. • � � , i :..;_ r�'._.L._ .. _, .. . _. _. . . ._ .. . _ _. .. ...__ ._ __ . _ . . . . ..__._ _ _. i `i' .: <br /> .�.. ..___.�_ _ ... <br /> .. .. _ __ _, ._ _.�. . <br /> � ..,`._.. r.'s _ :_;i f.. .. .��-.:-: �.°:'„t i '-� ;r�!r-. s_' �_` __ .. . . . ?' _ —_—=�;�i,,:;; _ i_ — —. !�. .`?`_ � t .�_,�!:_.: . . _ . � <br /> AP LICANT PERMITEE SIGNATURE ISSUED BY:SIGNATURE /�i�%� <br />